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U.S. Scales Back Universal Childhood Vaccine Advice, Moving Six Shots to Risk-Based Use

The overhaul led by Health Secretary Robert Kennedy Jr. drew warnings from clinicians who say the shift lacks a strong evidence basis.

Overview

  • The Health Department removed universal recommendations for influenza, hepatitis A and B, meningococcal, and rotavirus vaccines, limiting them to children deemed at particular risk.
  • Officials said the new schedule aligns with international practice, while prior guidance had already dropped COVID-19 shots from universal pediatric recommendations.
  • The change reduces the number of vaccines universally recommended for U.S. children to 11 from 17, according to updated accounts from U.S. media.
  • President Donald Trump had asked for a policy review and later called the new timetable “more reasonable,” saying parents can still choose the full slate of shots with insurance coverage.
  • Infectious-disease specialists criticized the move as insufficiently evidence-based, citing risks of lower coverage and disease resurgence, and noted it follows agency shake-ups, a reversal on newborn hepatitis B guidance, and an ongoing FDA probe into possible COVID-19 vaccine–linked deaths.